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Individual

DR. ANTHONY MICHAEL BEVILACQUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
150 BURNETTS WAY, STE. 100, SUFFOLK, VA 23434-8168
(757) 547-5145
(757) 539-7488
Mailing address
501 DISCOVERY DR, CHESAPEAKE, VA 23320-3843
(757) 547-5145
(757) 312-0216

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0102037163
VA
207X00000X
Orthopaedic Surgery Physician
2019-02810
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010163005
VA
Enumeration date
06/23/2005
Last updated
04/25/2024
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